Pre-Trip Inspection Form printable pdf download

Pre-trip Inspection form

Vehicle ID:

Beginning

Ending

Date:

Odometer

Time:

Hour Meter

DO NOT include tenths

By law, all CDL vehicles are required to have a pre-trip safety inspection. An effective inspection exposes safety concerns and

potential maintenance issues. Repairs can be addressed before they become costly, major repairs.

Supervisor and Service Garage

should be notified immediately of any safety concerns.

Vehicle Overview

As you approach the vehicle , notice its general condition. Look for fresh oil, coolant, grease or fuel leaks.

Inspection

DAILY: CDL=Entire checklist, WEEKLY: Non-CDL (>10,000 GVW or equipped with liftgate), Bold only

Pass Fail N/A

Pass Fail

N/A

(check one)

Check brake lights

Verify three red reflective triangles

Emergency Flashers

Check steering linkage

Turn Signals

Check suspension (leaf and coil springs )

Head Lights

Check u-bolts and hangers

Check all mirrors

Check frame for cracks

Check windshield condition

Check brake chambers

Check for wheel chocks

Check brake hoses

Steering wheel loosness, damage

Check brake drums

Wiper blades and washer operation

Air brake check

Horn operation

Check oil pressure gage

Heater / Defroster operation

Check lug nuts for tightness

Parking brake operation

Check axle seals for leaks

Seat Belt operation

Check for debris between dual tires

Check all external lights and reflectors

Check condition of mud flaps

Check tire rims for damage

Check all hoses for leaks

Check tires

Check to ensure compartment doors secure

Check cargo area for loose material

Check battery box and connections

Check lift gate (up/down, stow completely)

Check fuel tanks (caps secured )

Check Coupling System (5th wheel, hitch)

Check exhaust system

Check windshield fluid

Check fuel gage

Check all belts for tightness and wear

Check dumpbed operation, up - down

Check oil level

Check dumpbed pivot points, and end gate

Check coolant

Make sure tanks are not below 1/4 tank

Check power steering fluid

Check operation of boom

Verify fire extinguisher on truck

Check voltmeter

Safety Concerns/Issues:

Remarks/Comments:

*Seat belt use is required

Operator Signature:

*Cell phone use is prohibited while operating

Supervisor Signature:

University vehicles

*Use of wheel chocks required

Inspection paperwork should remain in the vehicle until end of shift when it is delivered to the supervisor for

forwarding to the Service Garage

Revised 2/2016

Pre-Trip Inspection Form

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